| NPI | 1144648197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006897) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006897) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 006897) | |
| 213ER0200X Podiatrist, Radiology (Licence: NY 006897) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY 006897) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006897) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2022-03-01 |